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1285619668

NPI Code Detail

MEDICARE: DR. KARIN S ANDERSON MD

MEDICARE: DR. KARIN S ANDERSON MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207P00000X	Emergency Medicine Physician	L3909	TX

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
3	P00126727	OTHER	TX	MEDICARE RAILROAD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	8K8911	OTHER	TX	BCBS
2	8M1650	OTHER	TX	BCBS

General Provider Information

NPI Number	:	1285619668
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KARIN S ANDERSON MD

Provider Business Mailing Address
First Line	:	PO BOX 201606
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75320-1606
Country	:	US
Telephone Number	:	972-758-3523
Fax Number	:

Provider Business Practice Location Address
First Line	:	3301 MATLOCK RD
Second Line	:
City	:	ARLINGTON
State	:	TX
Zip	:	76015-2908
Country	:	US
Telephone Number	:	972-758-3523
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/08/2005
Last Update Date	:	12/04/2007

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Directions to “ DR. KARIN S ANDERSON MD” Practice Location

Language	Start Address	Practice Location

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